Provider Demographics
NPI:1851149942
Name:CRISTOBAL, KRYSTYNE ASHLEY (DPT)
Entity type:Individual
Prefix:
First Name:KRYSTYNE
Middle Name:ASHLEY
Last Name:CRISTOBAL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KRYSTYNE
Other - Middle Name:ASHLEY
Other - Last Name:MORALES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:1469 SW 4TH TER
Mailing Address - Street 2:
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33991-1424
Mailing Address - Country:US
Mailing Address - Phone:239-242-0070
Mailing Address - Fax:239-242-0076
Practice Address - Street 1:1469 SW 4TH TER
Practice Address - Street 2:
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33991-1424
Practice Address - Country:US
Practice Address - Phone:239-242-0070
Practice Address - Fax:239-242-0070
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2025-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty